体检和钼靶X线与超声对151例乳腺肿块检查结果比较分析

To compare and analyze the results of 151 cases of breast tumour taken by physical examination,mammography and ultrasonography

目的:比较分析体检、钼靶X线与超声诊断乳腺肿块的价值、优势和不足之处。方法:对151例经手术或穿刺明确病理结果的乳腺肿块进行回顾性研究,比较体检、钼靶X线与超声三种检查方法的诊断符合情况。结果:在151例乳腺肿块中,囊肿48例,体检、X线与超声的诊断准确率分别为68.75%、72.92%和93.75%;纤维腺瘤有65例,三者的诊断准确率分别为69.23%、72.31%和95.38%;增生结节27例,三者的诊断准确率分别为48.15%、48.15%和55.56%;乳腺癌11例,三者的诊断准确率为分别72.73%、72.73%和81.82%。结论:体检、钼靶X线与超声是最常用的检查乳腺肿块的方法,在鉴别肿块性质时,三者各有优势和不足之处。但对于良性肿块的诊断,超声更敏感;对于不典型肿块和乳腺癌,主张三者结合综合考虑。

Objective： To compare and analyze the value, priority and defect of physical examination, mammography and ultrasonography. Methods： We reviewed 151 cases of breast masses that had been diagnosed by operation or puncture, then compared the diagnostic sensitivity of the three methods. Results： In 151 cases, there were 48 cases of breast cyst, the diagnostic sensitivity of physical examination, mammography and uhrasonography were 68.75%, 72. 92 % and 93. 75 % respectively. The diagnostic sensitivity of the three methods were 69. 23 %, 72. 31% and 95.38% respectively in 65 cases of fibr0adenoma. In 27 cases of hyperplasia tubercle, the diagnostic sensitivity of the three methods were 48. 15%, 48. 15% and 55.56 % respectively. In 11 cases of breast cancer, the diagnostic sensitivity of the three methods were 72. 73 %, 72. 73 % and 81.82% respectively. Conclusion： Physical examination, mammography and ultrasonography are in general use to diagnose breast tumour. They have priority and defect of their own when used in distinguishing breast tumour. Ultrasonography is more sensitive to diagnose benign tumour. We should consider all results of three methods to judge a non - typical breast tumour or cancer.